Document Detail

Myocardial ischemia assessed by dobutamine stress echocardiography in a patient with bicoronary to pulmonary artery fistulas.
MedLine Citation:
PMID:  9083976     Owner:  NLM     Status:  MEDLINE    
A congenital coronary artery fistula is a rare anomaly characterized by a communication between one or more coronary arteries and a cardiac chamber, coronary vein, or less frequently, the pulmonary artery. The reported complications of this anomaly are congestive heart failure, infective endocarditis, and myocardial infarction. Although angina is not an infrequent complaint in the adult population with coronary to pulmonary artery fistulas, objective evidence of myocardial ischemia in the absence of concomitant atherosclerotic coronary artery disease has not been described. In this report, we describe an adult patient with chest pain and bicoronary to pulmonary artery fistulas in whom myocardial ischemia was documented by high-dose dobutamine stress echocardiography.
A Elhendy; P R Nierop; J R Roelandt; P M Fioretti
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  10     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-07-03     Completed Date:  1997-07-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  189-91     Citation Subset:  IM    
Thoraxcenter, University Hospital Rotterdam-Dijkzigt, The Netherlands.
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MeSH Terms
Arterio-Arterial Fistula / complications*,  congenital
Cardiotonic Agents / diagnostic use
Coronary Vessel Anomalies / complications*
Dobutamine / diagnostic use
Exercise Test
Middle Aged
Myocardial Ischemia / etiology*,  ultrasonography*
Pulmonary Artery / abnormalities*
Tomography, Emission-Computed, Single-Photon
Reg. No./Substance:
0/Cardiotonic Agents; 34368-04-2/Dobutamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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